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CSPAN
Nov 15, 2013 3:00am EST
health care because we are only 61 years old and not eligible for medicare for another four years. $18,000 a year for health care. we were told that part of the problem is the provisions in the law require us to choose a plan that has maternity benefits. how does this make sense for seniors to be forced to buy coverage that does not apply to them? we agree that benefits should not be denied to peernling peopt it's not fair to be forced to buy coverage that doesn't even apply." mrs. fischer: i rise to speak on behalf of nearly 3,000 nebraskans who have contacted my office with their concerns about obamacare. their stories are, unfortunately, not unique. skyrocketing premiums and cancellation of plans, that they were promised that they could keep. curt from lincoln, nebraska, wrote to tell me he has seen his bluecross blueshield premium rise a shocking 300%. david, a father living in omaha, is face ago potential total increase of $16,000 a year for his family's coverage. $16,000. another constituent from bertrand, nebraska, will see his family's deductible more than double next year
CSPAN
Nov 14, 2013 9:00am EST
could keep their medicare advantage plan. it was terminated. so they found another plan, much higher cost, much higher premium, much higher deductible. cynthia from la fee yet, indiana, i' i am i am-employed d purchase health care separately. i am a single parent with a child in high school. i was given -- my plan was canceled and i was given an estimate for a replacement plan almost double of what i'm paying today. mr. president, you have not kept your promises for seniors. you have not kept your promise to single working mothers. you have not kept your promise to families. you've not kept your promise to the people that i represent. how can americans trust that this government takeover will work if you can't keep your promises to the american people? a senator: mr. president? the presiding officer: the senator from north dakota. h.o.v. in north dakotmr. hoevena we've got a lot of farmers and ranchers. thethey run a small business and they're being hit very hard by obamacare, like other small businesses across this country. a rancher contacted us. his name is wayne, and he ra
CSPAN
Nov 15, 2013 3:00pm EST
all other non- interest spending together from everything but the security and medicare defense. i want to make it clear that the steadiness of the share of the category maps different patterns among its components so that chart at the bottom of the page and this other category. owing to the expansion of insurance coverage through the affordable care act and rising health care costs per person. in contrast, nondefense discretionary spending in the budget control act. we show figures like these not to suggest that you should try to repeat the budget configurations of the past, but instead to help you and others understand which parts of the federal budget are expanding relative to the size of the economy and which ones are shrinking. there is no particular reason that outlays for social security and medicare need to be cut back to the historical average share of gdp when a larger share of the population is old enough to receive benefits from those programs. however, if the programs are not cut back, then we will need to collect a larger share of gdp in tax revenue relative to our hi
CSPAN
Nov 17, 2013 2:10am EST
conservatives? >> sure. so the idea of medicare had been around, and, you know, it was kennedy proposed it. and he did it framed in very, in very conservative language, and i'll find that for ya. it was funny, he also -- this connects to the welfare point where, um, where he said, he proposed this medicare plan as very modest proposal, cut to meet absolutely essential needs. and with sufficient deductible requirements to discourage any malingering or unnecessary overcrowding of our hospitals. this program is not be a program of socialized medicine, it's prepayment of health costs with absolute freedom of choice guaranteed. every person will choose his own doctor and hospital. the program's a sound one and entirely in accordance with the traditional american system of placing responsibility on the employee and the employer rath or than on the general taxpayers to help finance health costs. so even as proposing this big government program, he's aware with this language about malingering about the risks of perverse sniffs. and i think -- incentives. and i think, you know, schlesinger writes t
CSPAN
Nov 14, 2013 7:00pm EST
enrolling in a different medicare slang plan which will cost more. i wanted the senator to be aware that medicare clients are experiencing negative consequences from aca as well. since that time, by the way, after this experience. she has been able to find a plan that helps her avoid all six of her doctors including a five specialist in the primary care physician. here is the catch. the new plan? it's out of pocket costs are now going from $4 ,000 to $45 00 range. it's now going up to an expected $5,900. it was a tough decision for her to make. she ultimate decided to pay more money in order to keep seeing the doctors that have been treating her for the past four to six years. it's a real live story of a medicare advantage recipient in the country whose out of pocket costs are going up because of obamacare. it's wrong. it is unfair. it should not stand. i yield the floor. >> mr. president? >> senator from new hampshire. >> thank you, mr. president. i came to the floor yesterday to share so many stories i'm receiving from my constituents about them receiving cancellations for policie
CSPAN
Nov 30, 2013 10:15am EST
congress passed a medicare part b prescription drug benefit in 2003 traditional medicare did not provide coverage for prescription drugs. many seniors tasted difficult choice between medicine and meals. when congress passed part d the republican majority at the time left a gap in coverage known as the doughnut hole. when a senior on medicare spends $2,600 on prescription medication they fall into the doughnut hole coverage that and have to pay for their drugs 100% out of pocket until they reach $5,600 in prescription drug spending glistens seniors never reached the top of mt. the calendar year so they pay 100% for the rest of the year until the next year. many seniors living on fixed income can't afford to pay their way through the gap in coverage. the affordable care act phases out the doughnut hole closing it for good in 2020 saving seniors $300 a year in drug costs. a year after president obama sine die affordable care act into law i spoke at the democratic club, one of the largest democratic club in florida whose membership is largely made of senior citizens who live in my co
CSPAN
Nov 13, 2013 9:00pm EST
in order, the trustees have said medicare goes bankrupt in 2026. the disability fund you referenced, 2016. and is there a way for us to address our long-term fiscal outlook if we don't reform those programs or also are we able to even sustain them for the beneficials that rely on them? >> senator, your first question, our baseline projections follow current law in which the federal share of medicaid costs for the additional populations under the affordable care act declines from 90% over a few years later. our projections incorporate that and that feature current law. >> so just to be clear, if after three years the states come to us and say we want you to continue to pay 100%, that is not accounted for in this fiscal outlook? >> that's right. we would provide a cost estimate for that legislation. it would show additional cost for the federal government. >> with regard to obviously important programs, i think, to all of us but also a big challenge we face. >> yes. so on your second question, as my charts showed, the rise in spending for social security and medicare under current law
CSPAN
Nov 19, 2013 9:00pm EST
when medicare was rolled out. and let me give you this. and the secretary later said that we actually have 800 family show up on a saturday morning and signed in with multiple attendees per family in nearly 300 people sent a follow up appointments after a navigator and we had 88 of the certified navigators they are and we don't know how many applications were completed because the numbers are being tallied in hhs and the regional office out of dallas. there are people who want to do it. if we have to do it by paper, we will do it. that's a frustration that we have. we want this work because there are millions in the country that need this. the majority in the house may not understand that. but in our district they do. and i don't know if you have a comment. >> i think that we take to heart the matter and i think that everyone working on this is absolutely serious about improving this experience because we know that in districts like yours, there are a number of people who need and want to enroll in use this benefit. so we are certainly working very hard to make that happen. >> without
CSPAN
Nov 5, 2013 12:30am EST
hearings to tell you about. the centers for medicaid and medicare services will be on capitol hill to talk about the health care law including the health care.gov rollout. it will be live on c-span at 10:00 a.m. at the same time on wednesday morning, hhs secretary kathleen sebelius testifies in front of the senate finance committee and secretary sebelius and other obama officials won't talk about the research and the updates that should be completed by the end of the month. you can see that at 10:00 a.m. eastern on wednesday. >> you are watching c-span2 with politics and public affairs weekdays featuring live coverage of the u.s. senate and on weeknights, watch key items and the latest nonfiction authors and books on booktv. you can get our schedules are websites nuking join in the conversation on social media sites. >> our series on the affordable care act in conjunction with kaiser health news focuses on what is happening with the insurance plans that are being canceled. this is 45 minutes. >> on this segment of the "washington journal", we have been taking a look at the implementat
CSPAN
Nov 4, 2013 8:30pm EST
the one pool. i have a different situation as a medicare person, not medicaid. my medicare has gone completely haywire. my deductible has increased. the amount of doctor care i get has been decreased and the supplemental plans like aarp is pushing -- have increased tenfold because of the obamacare regulations and minimum requirement. like she is trying to say of goods find and everybody needs to pay for pregnancy and everyone needs to pay for prostate cancer so it all works out. that is one payer system and it that is what the system wanted to force people into to make it such a mess that they will come back with the one payer system is the only real way to solve this issue, that is what they wanted in the first place. i don't understand. a health care person such as yourself who is on here what is kaiser stand to gain from this because they are showing cancellation policies. >> host: just to be clear highs or health news is a nonprofit news service independent from the kaiser family foundation. it's a foundation nonprofit nonpartisan health policy think-tank and the correspondents
CSPAN
Nov 8, 2013 4:30pm EST
they got to vote on it. >>> next come the testimony from the head of medicare. she appeared on capitol hill again this week to explain the problems with healthcare law rollout and the website. we join this hearing with opening statements from the ranking member, tennessee republican lamar alexander. this portion is just over two hours and 20 minutes. welcome. when i was in president bush's cabinet i used to testify before this committee in that seat and i used to think the senators deliberately put the chair download so they could be of high. so we welcome you. my late friend alex haley used to say lamar if instead of aay speech if you would tell a story someone might listen to you. ofa so here's a story. 16,000 tennesseans have insurance through covertenn. obamacare is countering their policies.en covertenn is an example of what president obama calls "bad apples" a plan that washington decides is a good enough for you. i recently heard from him than of those tennesseans whose polic policy will be canceled january 1. her name is emily. she is 39 and she has lupus you she told m
CSPAN
Nov 4, 2013 12:00pm EST
, 2/3 of the federal budget is basically medicare, medicaid, social security, defense spending and interest on the public debt. that is where the money is, that is where we're going to make any progress inwe reducing spendingn the future we have to focus our attention. >> host: carl from chicago, illinois, on the line for democrats. you're on with mr. hoagland. >> caller: good morning, gentleman. mr. hoagland, you're saying a balance between spending and revenues. i think thatth you got it wrong. this is where the problem is in my eyes. in 2000 we had a balanced budget anhad surplus. republican chose to take all the surplus and borrow money to have tax cuts, okay? they said that we could have a war. in six weeks it wasn't going to cost as you dime. that wasn't true. it cost us a trillion or two dollars, maybe one or two trillion doll -- $2 trillion. we had the recession where americans lost 30% of their net worth and lost gdp because the recession started in 2007. gdp in 2007 and 8. which probably comes to maybe about, comes to maybe about a couple of trillion dollars. this is not
CSPAN
Nov 25, 2013 3:00am EST
government and the growth for positive change in peoples lives. before congress passed the medicare part b drug benefit in 2003 in the traditional medicare did not provide coverage for prescription drugs. many seniors face a difficult choice between medicine and meals and congress passed party, the republican majority left a gap in coverage known as the doughnut hole. when a senior in medicare's hands approximate $2600 on prescription medication cometh onto the into the doughnut hole coverage gap in how to pay for their drugs and hunt up some other pocket until they make $5600 in prescription drug spending. some seniors never reach that amount of the calendar year, is they pay for the rest of the year until the next year. many seniors living on fixed incomes can afford to pay their way through that gap in coverage. the affordable character faces at the doughnut hole, closing it for 2020 and saving up to $3000 during drug costs. about a year after president obama sang the affordable care act into law, i spoke at the democratic lock on one of the largest in florida whose membership is
CSPAN
Nov 13, 2013 11:00pm EST
will be 5.3% of gdp, we project, in 2023. if you take spending for social security and medicare together, that was about 6% of gdp on average over the last 40 years. but it will be more than 8.5% of gdp by 2023 and in our long-term outlook we show that by 2038 it will be more than 11% of gdp. meanwhile, defense spending shown in the third bank of the numbers is on track to be a shrinking share of gdp, and all other noninterest spending taken together, everything but social security and medicare and defense, will be roughly the same share of gdp in 2023 that it was on average during the past 40 years and that it is today. i want to make clear that the steadiness of this gdp share of the all other category masks some very different patterns among its sub components. as you can see in the chart at the bottom of the page in this other category, means tested health care programs are taking a growing share of gdp, owing to the expansion of insurance coverage through the affordable care act and rising health care costs per person. in contrast, nondefense discretionary spending is on tr
CSPAN
Nov 5, 2013 6:30pm EST
medicare services talking abouts the health care law. a senator from alaska wasn especially cogent in pointing out the difficulties and who differences between those twonai live in alaska and their inability to connect to theem services in the new health carel law. e if i remember correctly she sait only three have been able to drc enroll in pointed out the differences in time. i would like to spend a few minutes reflecting them whatthis happened this morning and what i said to the administration's witness., i begin by telling a story about 16,000 to alexian's who have insurance through something called cover tennessee. a low-cost coverage stateir program. obamacare is canceling a policy. the cover tennessee apparently is an example of what the president has called bad applesd an insurance plan that washington has decided is not enough for you. t i recently heard from one ofn those who policy will bee cancelled on january 1. her name is amelie. thirty-nine years of age. she lives in tennessee and toldt me, i cannot keep my current plan because it does not meet this the standards of co
CSPAN
Nov 16, 2013 6:00pm EST
have gotten the big tax cut, the federal aid to education, the medicare and the civil rights bills passed. that would have put him in the lead with the most progressive 20th century presidential reformers alongside t.r. and wilson and even compared somewhat to fdr but i don't think he would have pushed beyond that. i think he would have pushed toward dÉtente. i think we would have seen dÉtente earlier with kennedy then we did with richard nixon because that cuban missile crisis was so sobering and it was so khrushchev and they make the nuclear test ban treaty which eliminated the pollution and radiation in the atmosphere and i think kennedy saw this as an opening towards a push with the soviets and he made the ruling and famous american speech in june of 63 in which he said we should rethink, rethink our relationship with the soviet union. mainly the russian people and he praised the russian people as a great evil. he was looking toward i think some kind of accommodation, a movement away from the dangers of a nuclear war. and of course vietnam. he was under tremendous pressure fr
CSPAN
Nov 20, 2013 1:00am EST
is henry chow, chief information officer at the centers for medicare, medicaid services, thank you for testifying today, and i can only imagine how stressful the last few months have been for you. welcome here. i hope you appreciate the fact that hhs has a ways to go to retain the trust of the american people on this website. they were promised a functioning website as easy as buying a tv on amazon, and what they got was a train wreck. the reason the trust of the american people is difficult to regain is because every day new revelations show this wreak was foreseeable. last week, there's e-mails uncovered showing as early as july of this year, mr. chow, the first witness, was worried the company primarily responsible for building the website, cgi would, quote, crash on takeoff, unquote. materials as early as march to april of this year, top administration officials were well aware that healthcare.gov was far off schedule and testing of the website would be limited. we have also learnedded that healthcare.gov was only launched after the ad min straiter signed authority to operate,
CSPAN
Nov 17, 2013 4:30am EST
, and kennedy was more detached in that sense, too. we're going to have medicare and have demonstration programs, but i think it would have been acutely aware, for instance 0, the political dangers of a great society program with big city mayors at odds with community based organizations, fighting for money. kennedys were from boston. they understood the black-white conflict in terms of white working class and schools. johnson saw it as the north and the south. so i think you would -- kennedy just didn't talk that way. i can't imagine him calling for a war on poverty. because he had a great degree of skepticism about the power of government, whether it was military or domestic. he would have had programs, but smaller, more modest, and it would have been very important for kennedy to make sure that this wasn't seen as a racial program. shortly before he left for dallas, the one political meeting he had, he was talking about poverty, and the record of the census bureau, said this is all real. i wouldn't do that, mr. president. you got all the poor votes. you need suburban votes, salt lake
CSPAN
Nov 17, 2013 5:45am EST
man who said i don't want the government fooling with my medicare. do they know johnson put that federal program? you remember some of the rhetoric. roosevelt said nothing to fear but fear itself and kennedy said ask not what your country can do for you, ask what you can do for your country. reagan said it's mourning in america and the pride is that. we remember these inspirational talks. for the moment kennedy and reagan are the ones who fill that bill. it will be interesting to see what evolves over the next 50 years. i am very selfish. i say i wish it would could come back in a couple hundred years and see what has happened in the country but my grandiosity does not extend that far. [laughter] >> ladies and gentlemen please join me in thanking robert dallek. [applause] >> thank you.
CSPAN
Nov 19, 2013 3:00am EST
presents a long-run opportunity for job and wage growth. quoting for the center for medicare and medicaid services, inflation adjusted health spending grew at a 2% annual rate over the three years since 2010. the lowest rate recorded since we began tracking these data in the 1960s. lower health spending helps with wages and jobs. fourth, the dramatic increase in domestic energy production is another opportunity for the u.s. economy. crude oil production has grown each year the president has been in office, reaching its highest level in 17 years in 2012. we've seen stronger fuel efficiency, and as a result of all of these advances, we learned just today that our domestic production of crude oil exceeded our net imports of oil in october. more broadly, the president remains firmly committed to an all of the above energy strategy, including progress on renewable energy as well. finally, the last favorable trend we have is that technology provides significant opportunities for long-term growth, especially in areas that benefit from the combination of mobile computing and increasingly
CSPAN
Nov 22, 2013 8:00pm EST
problem and making employees contribute more on health care and pension made a big impact. medicare, medicare, social security and americans want more benefits of all kinds and they are willing to pay for. you talk about big, bold positive solutions being the answer -- are there big bold positive experiences that come to your experience at the state level for the different probl problems? >> they are different at the federal, state and local but they have the same tenants. the things you value the most would have been cut just as much as the things that don't have a high value. what we did was initiate reform. those were a part of it. and the biggest in the state were most of the school districts had to buy from one company. by pulling back on collective gardening, school districts can bid on health insurance and districts are saving tens of millions. and other changes beyond the fiscal leave are happening. at the federal level, it was more than half of the budget; aid to local government. so anything we did to balance the budget, besides massive cuts, required reforms in those area
CSPAN
Nov 23, 2013 6:00am EST
the appropriate medicare part b plan for them. so we're helping on that site also. -- part d. we were surprised how many young families were coming in. host of young families coming in, the children are already on medicaid and the coming in for care for themselves or other family members. so our successes and challenges, so what's working? the system is improving. the awareness level is increasing and good publicity, bad publicity made people aware of this is out there, the marketplace is open. so it's about more people in. most people are surprised when they come at how affordable it is. i think there's a preconceived notion by especially people who have sought some of the high-risk pools are people with chronic illness in the past have been unable to really afford it. but as with the d.c. exchange, there are trees prices and people are really surprised that it is affordable. we are doing a lot of advice in a committee. with a couple of organizations that do free and low-cost tax services, filing services for people of low income. so we're doing a lot of that. we are collaborati
CSPAN
Nov 30, 2013 6:00am EST
current system and that is simply let people buy into medicare for what it costs the government to supply medicare. what are the costs of government to supply medicare if you take the medicaid budget and divided by the number of people it is about $802 a month. that is a huge amount of money. if we put medicare on the exchanges and let people buy into it we could give people the same subsidy. it's sort of already set up to do that, and that would be a way of letting the private insurance companies who believe that the government is an efficient to compete and we will see what happens, so that is how i sort of settled at the conundrum in my own head. i think it would be a good thing to do. >> how do you feel your book will affect the medical world like everywhere across the world now? >> well, there is a whole percolating thing happening and it's not just in medicine because one of the things about my book is it's not just about medicine that people recognize it is about style. whether we are teachers or lawyers or how we live and what is a value to us. you don't need very much to b
CSPAN
Nov 14, 2013 11:00am EST
if you repeal the affordable care act. and what about senior citizens? medicare prescription part-d provides prescriptions so senior citizens can stay healthy, independent and strong for as long as possible. and the problem we had, of course, was something called the doughnut hole. it meant out-of-pocket expenses seniors had to pay for their prescriptions. we are closing and filling the doughnut hole so that seniors aren't giving up their life savings in order to have the prescription drugs they need for a healthy life. they want to repeal that. they want to repeal the affordable care act. i'm waiting for the first republican senator to come to the floor and say seniors ought to pay more for their prescription these need under medicare, because that's the result of repealing the affordable care act. now, let me just also say this. life experience tells us several things. first, premiums on health insurance go up with some frequency. we're trying to slow down the rate of growth but they've been going up for a long time. in some markets, for example, when it comes to individual polici
CSPAN
Nov 14, 2013 11:00pm EST
medicare is a terrible idea and that is what this is about. we are going to make history here. we were going to fix the problem and there will be more of that. because that is what happens. .. our children will have a brighter future. and i'm just here to say i stand with those who want progress. i'm not going to tear something down like they want to do and go right back to where we were before, with parents like these having to choose between feeding their families and giving their kids health care. thank you, and i yield the floor. a senator: mr. president? the presiding officer: the senator from connecticut. mr. murphy: thank you, mr. president. thank you, the senator from california for telling the stories of people in california which are not unlike the stories in connecticut, an exchange that is working. a flood of people signing up way above expectations from where we originally thought the numbers would be. would be. >> i thank you as well for pointing out what is the reality, which is that over 40 # times, republicans in the house of representatives and senate voted to repeal
CSPAN
Nov 13, 2013 11:00am EST
premiums go down, we're seeing premiums go up. and we know that medicare and medicaid remain on an unsustainable path, and we're actually seeing in many states the states opting to expand the medicaid program when they can't even care for or pay for the people who are currently in the medicaid program. and we have found that as organized labor has gone to the white house, they said that because of the incentives in obamacare, that many full-time employees will now be put on part-time work in order to avoid some of the penalties associated with obamacare, and we know that in the medical device sector, one of the most innovative parts of health care today, that those jobs are moving offshore. they're moving outside of the united states, and it's stifling innovation, this medical device tax which is part of the pay-for of obamacare. but here is another issue that hasn't gotten much attention lately. i was a little surprised when i came across this article in the "atlantic" magazine, but the truth is the obamacare structure penalizes people for getting married. certain couples who do q
CSPAN
Nov 4, 2013 6:30pm EST
medicare for all. it's appealing but it's very expensive. we couldn't figure out a cost-effective way to provide that. members on the right more conservative leaning in this body wanted to just provide savings accounts which works beautifully for people who have money to save in the account, but for people who live paycheck to paycheck, and there is no money to save, they never get any account to be able to provide for their health insurance. so between those two book ends, we debated for a long time about how to provide a market-based approach for insurance. no mitigation in the world has attempted this, so this is a big effort, but it's an important effort because we are a developed nation, we need to have a healthy work force. it's about as simple as that. you can't be number one in the world, you can't be the strongest economic power in the world if your people are sick and weak. it's just about as simple as that. and you can't be the strongest economic power in the world if your health care system is sapping so much money out of your economic power, 19% of the g.d.p., when ja
CSPAN
Nov 20, 2013 5:00pm EST
medicare and medicaid programs. this price tag, mr. president, will increase expo tensionally as the baby boomer generation ages. if we fail to change the current trajectory of alzheimer's disease, our country will not only face some mounting public health crisis but an economic one as well. if nothing is done to slow or stop this disease, the alzheimer's association estimates that alzheimer's will cost our country an astonishing $20 trillion over the next 40 years. it is estimated that nearly one in two baby boomers reaching the age 85 will develop alzheimer's. as a consequence, chances are that the members of the baby-boom generation will either be spending their golden years suffering from alzheimer's or caring for someone who has it. in many ways, alzheimer's has become the defining disease of this generation. if we are to prevent alzheimer's from becoming the defining december of the next general -- defining disease of the next generation it is i am imperative increase our investment in alzheimer's research. according to a study done by the national institute on aging, alzhe
CSPAN
Nov 3, 2013 6:00pm EST
for mediocrity, but it amounts to the same thing. across the country insurers like medicare, et that and the blue cross blue shield companies now hold back 10% or more of payment to physicians until specific quality goals are met. medicare has decided not to pay surgeons for intestinal transplant operations at all unless the doctors achieve a predefined success rate, and it may extend that practice to other procedures. not surprisingly, this makes doctors anxious. i once sat in on the presentation of the concept to an audience of doctors hearing about it for the very first time. by the end, some in the crowd were practically shouting with indignation, we're going to be paid according to our grades? who's doing the grading? for god's sake, how? we in medicine are not the only ones being graded nowadays. firefighters, ceos and salesmen are. even teachers are being graded and in some places paid accordingly. yet we all feel uneasy about being judged by such grades. they never seem to measure the right things, they don't take into account circumstances beyond our control, they're misused
CSPAN
Nov 18, 2013 12:00pm EST
other piece of that where the funding comes from is out of medicare. and so you still have this element of seniors, especially in some of the rural districts where medicare advantage actually played a major role in being able to keep your provider because of the reimbursement rate issues that are cognizant that that may be a problem. so you've got this they took money out of medicare to put into medicaid, that's an issue. our members are very capable and competent at talking about alternatives that we would offer for a patient-centered health care delivery system. but it doesn't do us much good to put, you know, that up on the floor in a comprehensive way when you know that, i mean, let's be honest, the senate's not going to take it up, the president's not going to go along with that. so when one party passes something exclusively, denies the other party the ability to even offer a single amendment on the house floor which occurred, then they own it and embrace it. and they've owned it and embraced it and overpromised and underdelivered, and it is, it's the, you know, the tsunam
CSPAN
Nov 7, 2013 8:30am EST
in this body. those matters dealing with health care, for example. i wasn't here with medicare, but i remember how important it was because at the time that passed, i was the chairman of the board of trustees, an elected position, in nevada of the most extensive -- the biggest hospital district in nevada, lots of beds, lots of patients. so i remember the impact of medicare. but we also know that it didn't become popular overnight. there was a lot of criticism of it. most recently -- not nearly, not nearly as big as obamacare or medicare, but i was here when we passed under the leadership of president bush number 2 the medicare drug benefit. now, a number of us didn't like that. we thought it didn't go far enough and should have been done differently. but it passed this body and became the law of the land. it was difficult to get that up and running. but, mr. president, we did not come to the for that and say, get rid of this bill. we believed, as imperfect as it was, it was the beginning of building support for doing something about health care in america. so i wish that my republican
CSPAN
Nov 24, 2013 10:30am EST
lives. before congress passed the medicare part b drug benefit in 2003 in the traditional medicare did not provide coverage for prescription drugs. many seniors face a difficult choice between medicine and meals and congress passed party, the republican majority left a gap in coverage known as the doughnut hole. when a senior in medicare's hands approximate $2600 on prescription medication cometh onto the into the doughnut hole coverage gap in how to pay for their drugs and hunt up some other pocket until they make $5600 in prescription drug spending. some seniors never reach that amount of the calendar year, is they pay for the rest of the year until the next year. many seniors living on fixed incomes can afford to pay their way through that gap in coverage. the affordable character faces at the doughnut hole, closing it for 2020 and saving up to $3000 during drug costs. about a year after president obama sang the affordable care act into law, i spoke at the democratic lock on one of the largest in florida whose membership is largely made up of senior citizens who live in my congr
CSPAN
Nov 19, 2013 11:00pm EST
helping my mother with medicare part d almost 10 years ago, we had a lot of the same challenges to figure out the best plan and how she might be affected by this. we had a lot of the glitches but we worked through those glitches and my mother made a good decision with regard to her medicare decision. it is provided in large measure because of the approach we use with the aca, that is working extremely well. host: a lot of success depends on those young, healthy people. guest: it is a deal they cannot refuse. they can sign up on their parents' plan. they had in our was opportunities to be given special treatment. they can sign up for a catastrophic plan up until they are 30 years old. they will get assistance. there is innermost opportunity to take responsibility and to do the right thing. people ask me, is health care a right in any country? i think it is a moral right. with that comes a responsibility. my republican friends talk about the importance of citizen responsibility, but then argue there is no need when it comes to health. i think the responsibility is an important part of ameri
CSPAN
Nov 5, 2013 10:30am EST
conjunction with a government promise like medicare prescription drug coverage. you remember when the medicare prescription drug corchl plan was adopted, medicare part-d. true competition in the market was created, and vendors competed for the business, the beneficiaries, when it came to selling them their prescription drug plan. and lo and behold, due to the discipline and competition, not only was quality of service and cost -- go up -- and costs go down, we've seen actually there's a 40% reduction or i should say the cost of the plan is 40% under what was originally projected. that's something we could use with obamacare, which has been completely rejected. but that's why we believe that we can replace obamacare with reforms that will make it easier for people to acquire or keep the health insurance plan that meets their actual individual needs. my friends across the aisle continue to say we haven't offered a practical alternative, but that's just not true. just to remind them, some of the alternatives that we've offered include equalizing the tax treatment of health care so th
CSPAN
Nov 23, 2013 11:00pm EST
saying, first we got social security, and i think bankrupt. then we got medicare, bankrupt. now we're going to quadruple down on obamacare. what? what could she have been thinking? what she's thinking is this is the corner stone of the socialist future, which is what she believes in, that, you know, everything else fails because we didn't get enough money. we couldn't extract enough money because of these evil republicans who are antitaxation it's an imaginary future, and that makes it dangerous. these people with pumped up, their own intoxication by their own self-righteousness in bringing together the wonderful world in which all you, republicans, conservatives are determined it prevent from happening, and that is the only obstacle to them. we, human beings, are the root cause of all social problems and all government problems as well. if human beings were not so screwed up in their way, yeah -- it's not hard to lie, is it? everybody does it. we do the fib, it smooths things over. we then have power at stake, and, you know, wonderful goods at stake, lies grow and grow and grow until
CSPAN
Nov 16, 2013 3:30pm EST
medicare. i mean, he stretched what was possible, right? he went for the moon. but for the tax cut, he really, he tried to find stuff with congress. it's a different situation, right? the democrats controlled both houses of congress during the kennedy administration. some of them were conservative democrats who were not too kindly disposed towards some of the things that kennedy was trying to do. so i think, you know, focus on what's possible, stick to your principles and look for, look for things that can be a win/win, you know? like the free trade and the tax cut and the military spending. i mean, all that stuff there was broad, there was pretty broad support for that sometimes cut across party lines or ideological lines. so, i mean, growth is a great example, right? who's against growth? maybe some hard core environmentalist, but -- [laughter] but, you know, or winning against the soviet union. who was against that? so kennedy managed to -- and i think all successful politicians -- managed to find what, i think frank luntz would call them 90% issues. 90 percent of the people are for
CSPAN
Oct 31, 2013 10:00pm EDT
, medicare or who are beneficiaries of cancer research. people are getting food stamps, kids in head start, are they all in the bathtub to be drowned too? it's a glib phrase, but as we learn recently when they shut down, and as we see repeatedly, you know, there's a lot of people in america who benefit and depends upon government services, and the idea of making it smaller for the sake of making it smaller, you know, appeals, i think, to folks who may have been in the av and libertarian club in high school, but, you know, that's not the way the world works, and it's, you know, not the way i think most americans see the government. they don't like big government. you know, they don't like the idea of big government, but they want it to be active and provide a pretty healthy and robust social safety net. >> we're talking with the washington bureau chief of mother jones. mother jones, how long has you have a washington bureau and how long have you been the chief? >> guest: they started the bureau around 2007 and october 2007 i was the washington bureau chief, worked at the nation magazi
CSPAN
Nov 27, 2013 12:00am EST
trillion for year getting medical care to low income americans, and that does not include medicare so the elderly generally have medicare, and i am not saying there is no one out there who is not struggling. in fact, i think most people are struggling day to day to make ends meet, but i am saying if you ask poor old were you hungry of any point during the year, four out of the five of them will say hungry -- they know, we were not hungry. >> if you asked them did you have a medical need you could not get attended to, almost all of them would say they do. most people have satellite, cable television. much differentis than you ordinarily see on the network news. not to say there are no families that really do face deprivation, but a much smaller number than the 46 million we usually hear as being in poverty. i think we have to recognize one of the reasons people are poor is because they have lost a job or cannot find one. -- they might have television or an air- conditioning unit or what have movebecause you do not every month to fit what income is coming into the household. so a lot of wha
CSPAN
Nov 15, 2013 11:00pm EST
could end up splitting the democratic party in a very hostile way. >> a lot of white medicare recipient wouldn't be happy. >> the weird issue, i think, a lot of us still view older -- somehow there's too many people in washington that think older voters are fdr. there's fdr democrat. it's a base republican vote now. seniors are a base republican vote. our way too early poll of christie and hilary. if you want to take a reminder -- one of the only three groups that christie lead hillary was on seniors. it was a republican group now, and so i think you're right, john. i think republicans are afraid of turning them off. i want to go back to 2016 and way too early poll in a moment. i want to talk about social -- because again, when we started covering politics, social issues were murder doctor democrats. now they're offensive weapons. i want you to look at where there is heading and think ten years in the future will gay marriage be legal in every state. and will marijuana be legal in every state? >> you look at survey of millennial voters. they're not like the older siblings or parents or
CSPAN
Nov 14, 2013 3:00pm EST
success and using provider competition, consumer choice to bring down costs in medicare and throughout the health care delivery system. the american people need to know that this failed program is not the only answer. i yield the floor. and i thank the senator from new york for yielding to me. i forget to say that. mr. blumenthal: mr. president? the presiding officer: the senator from connecticut. mr. blumenthal: at the outset, i ask unanimous consent that peter norstein, a detailee on the senate judiciary committee, be granted senate floor privileges for the duration of the 103rd congress. the presiding officer: without objection. mr. blumenthal: thank you, mr. president. my purpose in being here today, mr. president, is very simply to support the military justice improvement act and the very urgent need to include in its worthwhile and comprehensive provisions in the national defense authorization act for the fiscal year 2014, either by way of amendment or whatever measure may be appropriate, and to support the very eloquent remarks made by the senator from new york. she h
CSPAN
Nov 17, 2013 4:45am EST
i think he would have gotten the big tax cut, the federal aid to education, the medicare and the civil rights bills passed. that would have put him in the lead with the most progressive 20th century presidential reformers alongside t.r. and wilson and even compared somewhat to fdr but i don't think he would have pushed beyond that. i think he would have pushed toward dÉtente. i think we would have seen dÉtente earlier with kennedy then we did with richard nixon because that cuban missile crisis was so sobering and it was so khrushchev and they make the nuclear test ban treaty which eliminated the pollution and radiation in the atmosphere and i think kennedy saw this as an opening towards a push with the soviets and he made the ruling and famous american speech in june of 63 in which he said we should rethink, rethink our relationship with the soviet union. mainly the russian people and he praised the russian people as a great evil. he was looking toward i think some kind of accommodation, a movement away from the dangers of a nuclear war. and of course vietnam. he was under tre
CSPAN
Nov 22, 2013 6:00pm EST
insurance oversight within the centers for medicare and medicaid services. thank you for your opportunity to discuss the many benefits the affordable care act provides. i was very pleased to hear from state partners from kentucky and new mexico and district of columbia about the successes in building a small business marketplace at the state level. from the very beginning, we encouraged every state to set up their own marketplaces because we believe that the states were in the best position to create marketplaces in the way that vet the residents of their states. we have worked very closely every day with our state partners to help them stand up those exchanges and we take great pride in the success they've had. but i think it's also important to remember that the reforms of the afford anl care act are not just about the changes. they go beyond the exchanges to the entire small business market. as you noted, in your opening statement, madam chair, many small businesses that would like to offer health benefits to employees have faced significant challenges in the market as it e
CSPAN
Nov 5, 2013 10:30pm EST
] administrator for the medicaid and medicare services said the agency was -- for the health care.gov website next week. she testified for the second time in two weeks about the health care law rollout. you can see the event in the entire tiny time at c-span.org. >> at the end of the month one or two things will be true. either the website is going to be working smoothly for the vast majority of the users or it won't. and it's those cases the administration is going have to take quick action to ensure that individuals across the country are being treated fairly. so i'm sure people are planning for this at the end of the month. what -- what set the plan since it fails. if it works, that individuals will just have two weeks to really shop and a plan that take effect on january 1st. is the administration planning an education and outreach strategy to match this tech surge that is currently underway and if the site is not -- then what steps is the administration going take including delaying penalty for not buying the insurance and then what are they going do to help individuals to be sure there'
CSPAN
Nov 16, 2013 3:00am EST
focus on chronic illnesses. for example, in the medicare program we spent $1 out of $3 on people who have diabetes. yet our reimbursement system doesn't incentivize a physician officers to check on their patients with diabetes. we could -- there's so much we can could do on medical liability reform. and every study shows would save money. what are you going tell him? >> first of all, we've had many discussions thon with the president. and just to get at susan's point here. one of my main argument on delivery system reform. when you look at the fact we've actually seen the slowest increase rate in decades the health care costs. their numbers are out there in the last two years. because a lot of hospital and doctors are starting to respond to look at delivery health care in a more cost efficient way. that's why many of us think -- we have to keep in the good part of the bill. and to allow just to pull back on the exchanges now, when people finally have this opportunity to get a dependenting on what their options are for plans. repealing the whole bill. >> there was a big mistake in the
CSPAN
Nov 15, 2013 11:00am EST
medicaid and medicare servicemen issue guidance telling hospitals that are free to vary from the manufactures maintenance recommendation on these types of devices. we cannot do with an automobile or refrigerator. these are highly specialized piece of equipment and when he devices improperly service, the consequences can be deadly. when a "new york times" series of 2010 raise concerns about patient deaths from improperly calibrated diagnostic and therapeutic equipment this committee held hearings in the matter. i'm concerned the weakening of equipment maintenance standards could have some severe consequences or patient safety and the party responsible for that device is the manufacture. if something goes wrong it's that companies in on the label even though they're not the ones who made the maintenance changes. i believe the fda has waited on this action by cms, is that true, dr. shuren? >> yes. >> can you discuss your positions on this? >> our concern is that the maintenance schedule is one part of assuring that that device main safe and effective, and would work with the compani
CSPAN
Nov 18, 2013 11:00pm EST
medicare and medicaid to draw lessons from this experience. we are pleased to have today as our partner well point inc., operator of blue cross blue shield in more than a dozen states, which collectively cover about one in nine americans and you're going to be hearing from michael dallman from the anthem health plan in a few minutes and let me take a couple of moments to cover some of the logistics. there's a lot of background information including about our speakers in your packet and you will also find in hard copy at power point presentations of our speakers and those slides and all of the material that those of you have are available on the alliance website, www.all health.work. also on a website, you can view a webcast of our briefing a couple of days in the transcript as well of today's discussion. if you're watching us on c-span, you have the video. you also have access to all of the materials if you have a computer as well and can go on our website all health.org and you can follow along with the slides among other things and we would ask you at the appropriate time to fill out
CSPAN
Nov 1, 2013 10:00am EDT
medicare and medicaid services testified the day before secretary sebelius. and her testimony and the secretary are available online at c-span.org. >>> this is a tough time for nsa. everybody says what are you doing or why are you doing it? but here's what we do. when we get when we get together -- well maybe a couple of times we've wine, but we actually say it is much more important for this country that we defend this nation and take the beatings than it is to give up a program would result in a nation being attacked. we would rather be here in front of you today telling you why we defended these programs and having given them up and having the nation or the allies. they defended the program and the house intelligence committee meeting. saturday morning at ten eastern. blasÉ sunday at c-span2 your calls and comments >> asad nassa's future goes, so too does that of america. if nassa is healthy, then you don't need a program to convince people that science and engineering is good to do because you will see it at large on the paper. it will be called for engineers to help us go ice fi
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